OSCP exam maintaining access

I was looking of the report template. There is a section called Maintaining Access. Here is the section i am confused on.

“John added administrator and root level accounts on all systems compromised. In addition to the administrative/root access, a Metasploit meterpreter service was installed on the machine to ensure that additional access could be established.”

Are creating admin/root account required for the exam? I can’t seem to google the answer.